Active NPI
Barry Dale McNinch, MS COUNSELING
- Counselor
- Fairfax, VA
National Provider Identifier
1528634631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0704013860
- Practice address
- 10513 Judicial Dr Ste 201
Fairfax, VA 22030-7528 - Phone
- (703) 936-8066
- NPI assigned
- May 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Counselor | 101Y00000X | 0704013860 | VA | Primary |
Addresses
Primary practice location
10513 Judicial Dr Ste 201
Fairfax, VA 22030-7528
Mailing address
10513 Judicial Dr Ste 201
Fairfax, VA 22030-7528
Phone (703) 936-8066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0704013860 | Other | VA | VA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | barry@NVCounseling.Services | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704013860 | VA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Counseling Services Inc. | Counselor | Current | Accepting new patients |
Locations
10513 Judicial Dr
Ste 201
Fairfax, VA 22030
Phone (703) 405-9014
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Fairfax, VA
- NPI 1962093815
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622246400000",
"number": "1528634631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10513 JUDICIAL DR STE 201",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307528",
"telephone_number": "703-936-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10513 JUDICIAL DR STE 201",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307528",
"telephone_number": "703-936-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNINCH",
"first_name": "BARRY",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "MS COUNSELING",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-29",
"last_updated": "2021-05-29",
"certification_date": "2021-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0704013860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA LICENSE",
"identifier": "0704013860",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "barry@NVCounseling.Services",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10513 Judicial Dr Ste 201",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220307528",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.